Revalidation record
Virginia Mason Medical Center — revalidation due 2026-09-30
past duemay be staleNPI 1124176904 · Non-DME Part B · MI · Enrollment ID O20210831003309
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 12 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20210831003309 | MI | 855B | 2026-09-30 |
| O20210910002428 | NC | 855B | 2026-10-31 |
| O20031107000383 | WA | 855B | TBD |
| O20210910002894 | NJ | 855B | TBD |
| O20210917001827 | TN | 855B | TBD |
| O20210920001359 | PA | 855B | TBD |
| O20210922000330 | DE | 855B | TBD |
| O20210930000531 | MO | 855B | TBD |
| O20211029000532 | CO | 855B | TBD |
| O20211124000301 | VA | 855B | TBD |
| O20211201001790 | HI | 855B | TBD |
| O20220414000444 | GA | 855B | TBD |
- Revalidation due
- 2026-09-30
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
CMS published a due date of 2026-09-30 (29 days ago). We cannot tell from the file whether you completed this.
CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.
What changed, month by month
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-09-30 |
Not an official CMS system. Verify before filing.
All MI revalidation dates for October 2026Where this date comes from